Harris, Connie L

Harris, Connie L is an individual health care provider with primary practice located at 840 E Hill Ave , Moses Lake WA 98837-2238. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harris, Connie L can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
840 E Hill Ave Moses Lake WA 98837-2238
Phone: (509) 663-8711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP61200624 Washington

Profile Details

NPI number 1861462996
LBN Legal business name Harris, Connie L
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861462996 NPPES
Michigan MEDICAID 1861462996
Michigan MEDICAID 4784689
Michigan Other 50-0-87-0538-0

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